ContractKey/Card-Key Application & Agreement • July 1st, 2019
UNIVERSITY OF CALIFORNIA BERKELEY - VLSBMETAL KEY/CARD-KEY APPLICATION & AGREEMENT Last Name: First Name: M.I. Faculty/Staff/Student ID # E-Mail: UC Status: [ ] Under Grad [ ] Grad Student [ ] Staff [ ] Postdoc [ ] Faculty [ ] Other: Lab or Facility: Rm. Lab Phone: Local Home Address: Local Phone: CARD-KEY SERIAL NUMBER (FOR INTERNAL USE ONLY)
